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Background: Poor attitudes and lack of knowledge about labour pain has long been demonstrated to burden the health professionals, as well as the women. In developing countries, labour analgesia practice is not well established and undermined. Therefore, the aim of this study was to explore final year midwifery students’ knowledge and attitudes towards pain relief during labour, at University of Gondar, Northwest Ethiopia.Methods: A cross-sectional study was conducted among final year undergraduate midwifery students using structured, and self-administered questionnaire(n=130). Descriptive statistics were performed. Results were presented using narrations, means and standard deviations, percentage, figure and tables. Univariate analysis was used to assess the association between demographic variables with poor knowledge and attitudes. P-value below 0.05 level of significance was used to identify the statistical significance of factors for knowledge and attitude about pain relief during labour.Results: Of 130 students participated, the majority, 88% of respondents understood that women can feel moderate to severe pain during labour. However, only less than half of the participants had knowledge of labour pain should be relieved. The majority, 70% of students did not have awareness about the methods of labour analgesia.Conclusion: Although the majority of final year midwifery students were agreed with women can feel moderate to severe labour pain, almost more than half of the students were not aware of the painless labour in hospital. Most of the students believed that pharmacologic methods of labour analgesia will affect the labour, baby, and mother. Therefore, considerable attention in preservice teaching and training about labour pain and analgesia for midwifery students is recommended.

BackgroundThoraco-abdominal surgery cuts through muscle, disrupting the normal structure and function of the respiratory muscles, resulting in lower lung volumes and a higher risk of developing post-operative pulmonary complications (PPC). PPC remains an important cause of post-operative morbidity and mortality and impacts the long-term outcomes of patients after hospital discharge. This study was aimed at determining the incidence and factors associated with postoperative pulmonary complications among patients who underwent thoracic and upper abdominal surgery in the Amhara region of Ethiopia.MethodsA multi-center follow-up study was conducted from April 1, 2022, to June 30, 2022, at comprehensive specialized hospitals in Amhara regional state, northwest Ethiopia. 424 patients were consecutively included in this study, with a response rate of 100%. A chart review and patient interview were used to collect data. A logistic regression analysis was performed to assess the strength of the association of independent variables with postoperative pulmonary complications.The crude odds ratio (COR) and adjusted odds ratio (AOR) with the corresponding 95% confidence interval were computed. Variables with a p-value of <0.05 were considered statistically significant predictors of the outcome variable.ResultsThe incidence of postoperative pulmonary complication was 24.5%. Emergency procedures, preoperative SpO2 < 94%, duration of surgery >2 h, patients with a nasogastric tube, intraoperative blood loss >500 ml and post-operative albumin <3.5 g/dl were factors associated with pulmonary complications. The most common complications were pneumonia (9.9%) followed by respiratory infection (4.2%).ConclusionThe incidence of postoperative pulmonary complication after thoracic and upper abdominal surgery remains high. Preoperative SpO2, duration of surgery, patients having a nasogastric tube, intraoperative blood loss and post-operative albumin were factors associated with post-operative pulmonary complications.